With traditional service delivery struggling to meet the needs of young people’s mental health issues, the Inspire Foundation looks toward new technologies and online communication to provide information and support to young Australians going through tough times. Sophie will discuss how over recent years ReachOut.com has evolved to utilise multiple online channels – including a peer-led online community and social media channels – in its approach to mental health promotion, prevention and early intervention.
These spaces provide a safe, moderated place for young people to ask questions, discuss difficulties and learn from and support each other. Key to the success is managing and supporting a group of 18 volunteer youth moderators. Sophie will share tricks of the trade in recruiting and engaging the right group of volunteers to become community leaders and supporters.
3. Why ReachOut.com?
• 1 in 4 young people have a mental health issue
• 70% don’t get help
• 75% of all disorders start before 25
• Suicide is the biggest killer of young people
ONSET TREATMENT10 YEARS
4. “A real challenge exists with our mental
health services at the moment. They're not
easily accessible and we don't have enough
professionals, particularly in our regional,
rural, remote communities. Technologies
provide us with a way of connecting anyone
anywhere with a person who can help them.”
AssocProfJaneBurns
CEOYoungandWellCooperative
ResearchCentre(2012)
5. Less than 30% get help
If young people
can’t come to us,
we go to them.
90% of young people
are online everyday
6. We help by
• Reducing the burden on limited services
• Extend the accessibility of mental
health services
• Improve understanding of mental health
difficulties
• Decrease stigma and improve motivation to
access services
7. Our mission is to
help young people
live happier lives
About the Inspire Foundation
11. ReachOut.com channels
Flagship
service
1.3 million
unique
visitors each
year
Facts
sheets,
personal
stories,
videos,
tools, tips,
peer support
Topics from
wellbeing to
tough times
Component
of RO.com
2000 active
members
10,000
unique
visitors per
month
Anonymous
and private
Peer support
Discussions
range from
wellbeing to
tough times
Daily tips
and
challenges
Text
message
campaigns
last 14 days
Each
campaign on
a specific
theme
Topics on
wellbeing
20, 000 fans
Reach
young
people not
engaging
with mental
health
services,
Use
language
and format
that is
meaningful
to them
Focus on
wellbeing
and
engagement
149k views
Innovative,
relevant
methods to
reach young
people with
mental
health
messaging
Focus on
wellbeing
7,000
followers
Innovative,
relevant
methods to
reach young
people with
mental
health
messaging
Focus on
wellbeing
and
engagement
We build
apps and
tools to help
young
people
Partnership
with
research
teams
We assess
and feature
other tools
we assess
Wellbeing to
tough times
15. Youth led health promotion and prevention
Does: Does not:
Universal health
promotion
Prevention
Early intervention
service
Provide treatment
One on one
intervention
Counseling etc.
A space for peer support
16. How we help: Universal
Forums
Conversations
Sessions and
challenges
help young people connect their
experiences to those of others
that share and build knowledge
/ skills for building + managing
wellbeing
where young people participate
in activities that raise awareness
+ increase understanding about
mental health
17. How we help: Selected/Indicated
Hearing others’ experience
Threads about getting help
Community participation
helps young people recognise their feelings
and experience + increase
their understanding
that increase positive attitudes towards
help-seeking and the belief that timely
/ appropriate support can be effective
that increases participation in a positive social
support network, leading to improved self
esteem and resilience and helps young
people increase self awareness, self
monitoring and problem solving skills
18. How we help: early intervention
Peer mod referral
Threads about
getting help
Online forums
that help young people recognize
symptoms + provide actionable help
that increase positive attitudes towards
help-seeking and the belief that timely /
appropriate support can be effective
that connect young people with a social
support network + link young people
seeking help to information and
services
19. ReachOut.com forums boost protective
factors, such as:
• Sense of belonging
• Adaptive coping
strategies
• Help-seeking behaviour
• Mental health literacy
24. Peer mods are vital
… and critical to the success of ReachOut.com by:
• Building community
• Providing peer-to-peer support - empathy through
shared experience
• Proves there is a “light at the end of the tunnel”
• Foster a respectful site culture: focus on the issues
rather than individual problem focused
• Manage risk by non permissible content – removal
or escalation
• Strengthen youth participation model, ensuring
RO.com is relevant for all young people
25. Who are these peer mods?
• Currently 16 youth
moderators across
Australia
• All from different
backgrounds
• All with a desire to
contribute to the youth
mental health community
• Each volunteers two
hours per week
26. What do you actually do?
• Contribute to the forums
• Listen to users
• Moderate content and manage risk
• Maintain a positive help seeking culture
27. But how do you help?
• Promotes individual experience, but a
shared understanding of that experience
• Places young people as the experts
• Provides peer based empathy and support
• Generates positive and constructive
conversations
28. How do you promote healthy
helpseeking?
• By providing examples of their own help
seeking behaviours
• Using empathy and support to encourage and
promote the importance of help seeking
• Providing links to relevant and
trustworthy information
• Being community role models
• Practicing self-care
30. Youth Involvement/Volunteering
• From the beginning, young people were at
the centre of everything Inspire does
• Youth mods are part of a wider YI program
• 120 people: RO Film Crew, Youth Editorial
Board, ROMP, RO Speakers Bureau etc
• Private online community forum for all
involved with our YI programs
31. Youth involvement principles
9/29/2013
Our mission is to help millions of young people lead
happier lives
Involvement throughout the service design and delivery process
A variety of opportunities to contribute in meaningful ways
Consider the spectrum of users and include a diversity of perspectives
Ask young people what they want and how they want it delivered
32. Lessons I learned
• Training is key + follow up
• Documentation usability
• Be available but have boundaries
• Recruit like you would for paid employment
• Offer development pathways
• Get anonymous feedback
• Model self care practices
34. 1.4 million unique visitors to ReachOut.com in 2011/2012, & 664,332
engaged users = 27% increase on the previous year
Almost 50% of young people we interact with on social channels are
young men, those who need us most
50% of these visits take place after 5pm and before 9am
77% of young people who use ReachOut.com register high or very
high levels of psychological distress (higher for forums)
75% of young people who used ReachOut.com in 2011 reported that
it helped them to better understand mental health issues
Nearly half (46%) said it helped them to ask a professional for help
35. “I never thought that a silly post about my
feelings on an internet forum could end up
being the start to a new change. I have
realized that I can recover from this and I
thank you so much for pushing me in the
right direction.
I feel that I will get through this.”
“Veronica”, 19yo, 15th March 2013
Notes de l'éditeur
Young people as experts, at the centre. If we listen to them we;’ll be successful and effective. If we go in there thinking we know how to solve or fix problems, we’ll fail. Give meaningful opportunities to have a say and make decisions on the issues that affect them.Give your target audience meaningful opportunities to give back.
1 in 4 young Australians aged 16 to 24 have a mental health disorder (depression, AOD, anxiety)Less than 30% seek professional help75% of all mental health disorders start before the age of 25In Australia, more young people aged 15-24 die from suicide than road accidentsMEDIAN time between onset and treatment is 10 years
90% of young people are online every day (Nielson, 2010), so our approach is to take the help to where young people are. Our forums bridge the gap by:
1992 – Jack’s cousin suicides1996 Inspire is born1998 the first version of Reach Out is launched2000 – 2008 Act Now, Bean Bag, Teachers Network and ReachOut Pro launched. Strategic decision made to stop running Act Now and Beanbag programs etc. 2009 – 2012 – lots of research into young men. Young mens fund developed. EY Report goes live. WorkOut Pilot launched.
Suicide rates aren’t accelerating like they once were when Inspire began, but a range of issues I mention earlier continue to prevent young people from getting the that they needFacebook.com/ReachOut_Aus 20 000 fansTwitter.com/ReachOut_Aus7 000 followers
J-Law reached 70,000 people
There is method and academic research behind what we do!ReachOut aims to prevent and delay onset of mental health disorders, andreduce their incidence and their severity, duration, frequencyReachOut.com is particularly focused on mental health quality of life and and global quality of life. The mental health promotion and intervention spectrumThe spectrum identifies 5 types of program focus areas: (promotion, prevention, early intervention, treatment and continuing care) that can be delivered across 8 audience segments - ranging from universal through to young people in long term treatment or care.By virtue of the open-access nature of the service, ReachOut.com engages young people across the spectrum. Specifically however, ReachOut.com targets 3 areas of the Spectrum:Mental Health Promotion and Universal Prevention;Selective and Indicated Prevention; andEarly intervention.
ReachOut aims to prevent and delay onset of mental health disorders, andreduce their incidence and their severity, duration, frequencyReachOut.com is particularly focused on mental health quality of life and and global quality of life. Despite close moderation these spaces occasionally leave themselves open for young people in distress or crisis. We work closely with appropriate partner organisations (including the emergency services) to get young people to the help that they need.
Particularly, ReachOut.com targets protective factors that reduce or ameliorate the risk of developing mental health difficulties, and assists young people to understand and use self-help and formal help to address emerging mental health difficulties.Some of the protective factors we target:A sense of belongingAdaptive coping strategiesCommunication skillsMental health literacyHelp-seeking behaviourProblem solving skillsResilienceSelf-efficacy
Young people design, role model & enforce guidelines: Trained volunteer youth moderators role model positive behaviours – ensure conversations are positive and identify if there are any issues of concern. They escalate to staff if required.Anonymity and privacy: Users sign-up to comment in the forums. User name and clear guidelines not to post personal information or triggering details – moderators will remove if identifiable info is posted and forum member is contacted. Privacy exceptions if a person is at risk of imminent harm.Peer-to-peer support: Moderation is kept to a minimum and only intervene if guidelines are breached or forum users placed at risk.Clear boundaries & extent of service: Throughout the forum and in guidelines clearly states the extent of service – that it is not a clinical or crisis service and if this level of support is required referral to the appropriate services is provided.Self-moderation: Guidelines inform the culture of the space and outline positive behaviours that are rewarded and encouraged by peers. Feedback from moderators is guidelines are breached and there is a report function community members can use.Technical risk mitigation: Users must register and sign in to post, member accounts display no personal info to others, automatic alert words and phrases notifications to staff, IP addresses can be used in an emergency. Clear escalation processes, through to emergency services.
ReachOut.com invests heavily in recruiting and training a group of peer moderators (18 – 25yo) to lead the community. They are supported to become the voice, eyes and ears of the service in the online community. Peer moderators actively work to reinforce expectations and parameters around the extent of service and community guidelines. They also refer on to the appropriate support services and escalate risks up through to professional moderators and staff.Offer hopeMaintain culture